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0 0 <br />CRISP TANK *ri-=s IN(3 <br />2004 Piccoli #9 <br />Stockton, Ca 95205 <br />OWNER OF SITE <br />ADDRESS OC <br />OWNER OF TANKS i <br />ADDRESS 00 <br />OPERATOR AT LOCATI <br />ADDRESS A Q `.1 U - <br />TEST REPORT <br />& <br />CITY <br />CITY <br />T V-4, CITY vv <br />(209)931.1828 <br />LICENSE #92-1248 <br />LEONARD E. CRISP <br />STATEaZlq'5,W <br />STATEMZI 2jy <br />S T A T EZ I P`� I(p <br />NAME OF COUIJTY���(-t-t'1 <br />TANK /1 ►^ ON PLOT PLAN. AGE OF TANK . <br />DESCRIPTION OF TANK: <br />CAPACITY &OW ,DIAMETER �,� , METAL FIBERGLASS <br />TYPE OF SYSTEM: SUCTION : SUBMERSIBLEy: OTHER VAPOR RECOVERY SYSTEM? ; TYPE _ • <br />PRODUCT BEING TESTED MEASURED GRAVITY • <br />API SPECIEIC GRAVITY 0 600F P -R DUCT TEMP. • <br />SEEMM 53 <br />�_ ��_�. _ �(O COE <br />yy bb0 a <br />STORAGE FILLED_ DATE_ d -• / y <br />TESTED - DATE A- Jto -(-by , START , <br />LENGTH OF TEST_ ,:�by k } �� r FINISH f/'� y <br />MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL fJ <br />DEPTH OF GROUND WATER PSI AT TANK BOTTOM moo?''/ . <br />RESULTS OF TEST: <br />CERTIFIED TIGHT? - YES-; NO . IF NO EXPLAIN IN REMARKS. , <br />LEAK RATE PER HOUR: + ; or --Q <br />REMARKS BY OPERATOR <br />NAME OF OPERATOR S <br />SIGNATURE OF OPERATOR.- <br />DATE <br />PERATOR-DATE _ � - � - k• ------------ -� , . <br />r <br />